Active NPI
Clearsky Medical Imaging LLC
- Radiology Clinic/Center
- Dallas, TX
National Provider Identifier
1942317847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- R29992
- Legal business name
- CLEARSKY MEDICAL IMAGING LLC
- Practice address
- 12606 Greenville Ave
110
Dallas, TX 75243-1921 - Phone
- (972) 669-3100
- Fax
- (972) 669-3101
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brett Chandler
- Title
- Ceo
- Phone
- (813) 786-8712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | R29992 | TX | Primary |
Addresses
Primary practice location
12606 Greenville Ave
110
Dallas, TX 75243-1921
Mailing address
12606 Greenville Ave
110
Dallas, TX 75243-1921
Phone (972) 669-3100
National Provider Directory
National Provider DirectoryLocations
12606 Greenville Ave
Ste 110
Dallas, TX 75243
Phone (214) 361-2015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942317847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12606 GREENVILLE AVE",
"address_2": "110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752431921",
"telephone_number": "972-669-3100",
"fax_number": "972-669-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12606 GREENVILLE AVE",
"address_2": "110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752431921",
"telephone_number": "972-669-3100",
"fax_number": "972-669-3101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARSKY MEDICAL IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-786-8712",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "TX",
"license": "R29992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.